3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Staff #1 may not work in a child care position at the facility.

The file for Staff #1 (see IS Code Sheet) did not contain a Child Abuse Clearance or an NSOR Certificate.

Corrected Corrected by Jan 13, 2026

Category: background checks. Marked corrected in the state record.

3270.37(b)(3)/3270.192(2)(ii) · An aide shall have a minimum of an 8th grade education and 2 years of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for Staff #2 did not contain proof of education, so it was unable to be determined if Staff #2 qualified as an aide.

Corrected Corrected by Jan 9, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

In the Pre-K Room, four (4) protective receptacle covers were missing from the surge protector, which was on the floor under the black, Care Group Wall.

Corrected Corrected by Jan 7, 2026

Marked corrected in the state record.

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

In the Toddler Room, three (3) climbing mats/cubes of various dimensions, were previously torn and repaired, but the repair was failing, and they were not in good condition. In the Preschool Room, the contact paper, on top of the play table which was supporting the plastic doll house, was torn and repaired, but the repair was pulled away, and it was not in good condition.

Corrected Corrected by Jan 7, 2026

Category: physical safety. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Staff #6 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR. The training was completed on 2/17/25.

Corrected Corrected by Apr 25, 2025

Category: health medication. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, Staff #9 and Staff #12 must be supervised when interacting with children, by an Assistant Group Supervisor who has completed the required training related to this citation. If there are no staff person(s) available to supervise Staff #9 and Staff #12, Staff #9 and Staff #12 may not work in a child-care position at the facility.

Staff #9 and Staff #12 were observed to be caring for children unsupervised. Staff #9 and Staff #12 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric First Aid/CPR

Corrected Corrected by Apr 25, 2025

Category: supervision. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

The two most recent fire safety trainings on file for Staff #1 are dated 2/26/24 and 3/24/25, more than 12 months apart.

Corrected Corrected by Mar 24, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The file for Staff #8 contained a disclosure statement dated 2/10/25, which lacked a witness signature.

Corrected Corrected by Apr 25, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #12 may not work in a child care position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #12 may not work in a child care position at the facility.

The two most recent NSOR certificates on file for Staff #1 (12/23/19 & 1/27/25), Staff #2 (12/13/19 & 1/27/25), Staff #4 (1/14/20 & 1/27/20), Staff #5 (12/23/19 & 1/27/25) are dated more than 60 months apart. The two most recent State Police clearances on file for Staff #4 (10/7/19 & 1/10/25) and Staff #5 (4/8/19 & 4/9/24) are dated more than 60 months apart. The two most recent FBI clearances on file for Staff #5 (4/9/19 & 4/10/24) and Staff #10 (3/11/20 & 3/14/25) are dated more than 60 months apart. The files for Staff #9 and Staff #12, who were provisionally hired after 2/1/25 (SEE IS CODE SHEET), did not contain an NSOR certificate at time of hire, as required by Announcement C-25-01. Staff #9's NSOR is dated 3/3/25 (SEE IS CODE SHEET) and Staff #12 does not have an NSOR certificate. Staff #12 may not work in a child care position at the facility.

Corrected Corrected by Jan 27, 2025

Category: background checks. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The two most recent staff evaluations on file for Staff #4 are dated 5/17/23 and 7/30/24, more than 12 months apart.

Corrected Corrected by Jul 30, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

A utility cart containing multiple gallons of paint were observed to be accessible in an unlocked bathroom in the Gym.

Corrected Corrected by Apr 25, 2025

Marked corrected in the state record.

3270.67(a) · Trash shall be removed from the facility at least once per day.

A trash can in the outside play space was observed with garbage from days prior.

Corrected Corrected by Apr 25, 2025

Category: physical safety. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

On the Playground, standing water was observed on a tarp covering a sandbox and was accessible to children on the playground.

Corrected Corrected by Apr 25, 2025

Category: physical safety. Marked corrected in the state record.

3270.76/3270.103 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

The playground surfacing in the outdoor play space was observed to be lifting, torn, and crumbling in multiple areas, in a space used by Toddlers, who are still placing objects in their mouths.

Corrected Corrected by Apr 28, 2025

Category: physical safety. Marked corrected in the state record.

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

In the Preschool Room, magnatiles were observed to be broken and not in good repair.

Corrected Corrected by Apr 25, 2025

Category: physical safety. Marked corrected in the state record.

3270.102(a)/3270.103 · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

In the Toddler Room, torn vinyl on foam climbers was observed being less than 1 inch in diameter and was accessible to children who are still placing objects in their mouths.

Corrected Corrected by Apr 28, 2025

Category: physical safety. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The two most recent child service reports on file for Child #4 are dated 11/15/23 and 11/29/24, more than 6 months apart.

Corrected Corrected by Nov 29, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

The file for Child #1 (Young Toddler at the time) contained two health assessments dated 10/12/23 and 7/25/24, more than 6 months apart. The file for Child #2 (Young Toddler at the time) contained two health assessments dated 3/27/24 and 11/12/24, more than 6 months apart.

Corrected Corrected by Nov 25, 2024

Category: health medication. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The two most recent health assessments on file for Child #3 (Preschool Age) are dated 10/5/23 and 4/2/25, more than 12 months apart.

Corrected Corrected by Apr 2, 2025

Category: health medication. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

The immunization record for Child #1 (Older Toddler) lacked the following immunizations: 1 dose of Hepatitis A without a Letter of Exemption in the file. Child #1 must be dismissed from care by close of business on 4/25/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

Corrected Corrected by Apr 24, 2025

Category: health medication. Marked corrected in the state record.

3270.133(3) · The label of a medication container shall identify the name of the medication and the name of the child for whom the medication is intended. Medication shall be administered to only the child whose name appears on the container.

In the left closet of the Preschool Room, a bottle of Mucinex cough medicine was not labeled with the name of whom the medication is intended for.

Corrected Corrected by Apr 24, 2025

Category: health medication. Marked corrected in the state record.

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The initial health assessment on file for Staff #8 is dated 9/16/23, more than 1 year prior to Staff #8's date of hire (SEE IS CODE SHEET). The initial health assessment on file for Staff #11 is dated 11/28/23, more than 1 year prior to Staff #11's date of hire (SEE IS CODE SHEET). The two most recent health assessments on file for Staff #1 (8/8/22 & 3/27/25), Staff #3 (6/8/22 & 3/26/25), Staff #7 (5/8/22 & 1/15/25) are dated more than 24 months apart.

Corrected Corrected by Apr 25, 2025

Category: ratio. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The two most recent annual fire inspection reports on file at the facility are dated 12/14/23 and 3/19/25, more than 12 months apart.

Corrected Corrected by Mar 19, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The file for Staff #1 contained Child Abuse Clearances dated 1.28.19 and 2.23.24, which exceeded the 60-month renewal requirement.

Corrected Corrected by Feb 23, 2024

Category: background checks. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The file for Staff #2 contained evaluations dated 5.19.22 and 9.11.23, which exceeded the 12-month requirement.

Corrected Corrected by Sep 11, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.104(a) · Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

The plastic cabinet, with clear drawers, located in the Transitional K/SA Room, was cracked apart on the front side of a drawer, creating a scraping/cutting hazard for children in care.

Corrected Corrected by Apr 24, 2024

Category: physical safety. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The emergency plan on site does not include provisions regarding the facility's continuity of operations, required as of 7/1/22, as per Announcement C-22-04.

Corrected Corrected by Jul 13, 2023

Category: ratio. Marked corrected in the state record.

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

There was no specific documentation maintained by the operator that included the dates of each review and update of the emergency plan.

Corrected Corrected by Jul 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(2)(ii) · Child development, early childhood education and special education are acceptable training topics.

The two most recent fire safety trainings on file for Staff #6 were dated 6/2/2021 and 7/7/2022, more than 12 months apart.

Corrected Corrected by Aug 3, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i)/3270.31(f)(10) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Staff person #6 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR. The training was completed on 11/10/2022.

Corrected Corrected by Nov 10, 2022

Category: ratio. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The 2 most recent staff evaluations on file for Staff number #2 were dated 4/16/22 and 5/17/23, more than 12 months apart. The file for Staff person #5 was observed not to contain a staff evaluation within 12 months of hire (SEE LIS CODE SHEET)

Corrected Corrected by Jul 19, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.66(c) · Cleaning materials and other toxic materials shall be used in a way that does not contaminate play surfaces, food, food preparation areas and does not constitute a hazard to the children.

Multiple toxic cleaning products were observed on a shelf above food in the PreK room, which could cause contamination of the food below if leaking occurred. There was sunscreen, anti-itch cream, and deodorant, labeled "Keep out of the reach of children", that were accessible to children, in the School Age classroom.

Corrected Corrected by Jul 13, 2023

Category: ratio. Marked corrected in the state record.

3270.75(b) · A first-aid kit must be inaccessible to children.

A first aid kit in a backpack was observed unattended on a picnic table in the outdoor play space, accessible to children.

Corrected Corrected by Jul 13, 2023

Category: health medication. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

On the playground, a ground level window air conditioning unit was braced on the exterior wall. The metal brace had exposed sharp metal edges that were the same height of the toddlers in the space and accessible to all other children.

Corrected Corrected by Jul 13, 2023

Category: physical safety. Marked corrected in the state record.

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

The exit in the back corner of the gym had multiple large objects obstructing the hallway to double door exit to the outside.

Corrected Corrected by Jul 13, 2023

Marked corrected in the state record.

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

In the School Age room, there were cracked plastic chairs with pinch points that could cause injury and foam blocks with teeth marks and missing pieces that were not in good repair. In the Preschool room, there was a cracked toy bin and a cracked plastic chair, both with pinch points, that could cause injury. In the Introductory Preschool room, there were multiple pieces of decorative wood fruit that were cracked with pinch points and a box toy that was not in good repair with ripped paper pieces exposed in a room with toddlers that could be a choking hazard.

Corrected Corrected by Jul 13, 2023

Category: physical safety. Marked corrected in the state record.

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

There was a box toy that was not in good repair with ripped paper pieces exposed in a room with toddlers, that were less than 1 inch in diameter, located in the Introductory Preschool room.

Corrected Corrected by Jul 13, 2023

Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The file for Child #4 includes a child service report on 2/19/21, which is more than 6 months after enrollment (SEE LIS CODE SHEET). Child #4 file had documentation of child service reports dated 10/10/21 and 5/11/22, which are more than 6 months apart. The file for Child #5 has documentation of child service reports that were more than six months apart (10/26/21-5/16/22 & 11/23/2022-6/6/23).

Corrected Corrected by Aug 7, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(b)/3270.182(8) · A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record shall contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

The agreement on file for Child #1, Child #2, Child #3, Child #4, Child #5, Child #6, and Child #7 was the original and not a copy.

Corrected Corrected by Aug 7, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The emergency contact form on file for Child #1, does not include a complete address for all listed release persons.

Corrected Corrected by Jul 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

The most recent influenza vaccination on file for Child #4, who is 3 years old, was 10/29/21, more than a year ago, as is recommended annually by the ACIP. The written and signed exemption letter from the parent, dated 10/29/22, was regarding the 2022 flu shot and had not been updated. Child #4 must be dismissed from care by close of business on 7/18/23, and may only return to care when the immunization record is updated or when a parent provides a written and signed exemption letter.

Corrected Corrected by Jul 19, 2023

Category: health medication. Marked corrected in the state record.

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The file for staff person #4 had a negative chest x-ray on file without documentation of a positive Tuberculosis screening. The Tuberculosis screening on file for staff person #1 was dated 3/5/21, which was over 12 months at hire. (SEE LIS CODE SHEET)

Corrected Corrected by Jul 22, 2023

Category: ratio. Marked corrected in the state record.

3270.151(c)(1)/3270.192(3) · An adult health assessment must include a physical examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The 2 most recent health assessments on file for Staff person #3 were dated 1/6/21 and 5/10/23, more than 24 months apart.

Corrected Corrected by May 1, 2023

Category: health medication. Marked corrected in the state record.

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

The fire drill 60-day test log includes test dates 4/11/23-6/26/23 (77), which are more than 60 days apart.

Corrected Corrected by Aug 7, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The fire alarm 30-day test log includes test dates 10/17/22-11/21/22 (36), 12/16/22-1/19/23 (34), 2/15/23-3/29/23 (42), 4/11/23-5/24/23 (43) , 5/21/23-6/26/23 (33), which are more than 30 days apart.

Corrected Corrected by Aug 7, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

The facility does not have documentation verifying that the most recent emergency plan was submitted to the local municipality and to the county emergency management agency.

Corrected Corrected by Jul 13, 2023

Category: physical safety. Marked corrected in the state record.

3270.131(a) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

The health assessments on file for Child #2 dated 8/6/20 and 3/5/2021, were more than six months apart for a child under the age of 2. The health assessments on file for Child #4 dated 7/16/20, 5/21/21 and 6/3/2022, were more than six months apart for a child under the age of 2.

Corrected Corrected by Aug 9, 2023

Category: health medication. Marked corrected in the state record.

3270.75(b) · A first-aid kit must be inaccessible to children.

The first-aid kit in the Pre-K Room was observed to be accessible to children in an unlocked closet.

Corrected Corrected by Aug 11, 2022

Marked corrected in the state record.

3270.14 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation.

The observed Shaken Baby Syndrome, Abusive Head Trauma, and Child Maltreatment policy was observed to not address the prevention and identification of child maltreatment.

Corrected Corrected by Oct 11, 2022

Category: ratio. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f)(10) within 90 days of hire. Staff person #1-and #2-- must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer.

Staff person #1,#2, #3, #5, #6, #7, #8, #9, #10 and #11 had acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer had not provided documentation that they are PQAS-certified in that training topic.

Corrected Corrected by Sep 29, 2022

Category: health medication. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #4(volunteer)-- may not work at the facility.

The file for Staff #2 and #3 contained NSOR clearances dated after the first days of employment and lacked applications for NSOR clearances. The file for Facility Person #4 (volunteer) contained a DOE FBI clearance and lacked an NSOR clearance and application for NSOR clearance. Facility Person #4 was observed in a classroom with children on the day of the inspection. The file for Staff #9 contained consecutive child abuse and FBI clearances dated more than 60 months apart.

Corrected Corrected by Oct 11, 2022

Category: background checks. Marked corrected in the state record.

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The files for Staff #9 and #10 contained consecutive child abuse mandated reporter trainings dated more than 60 months apart.

Corrected Corrected by Sep 29, 2022

Category: background checks. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

An electrical outlet was observed to be uncovered in the electrical strip by the phone in the Toddler Room.

Corrected Corrected by Aug 11, 2022

Marked corrected in the state record.

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first-aid kit in the Infant Room was observed to lack tweezers and scissors.

Corrected Corrected by Aug 11, 2022

Marked corrected in the state record.

3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

The female bathroom on the second floor was observed to lack a lidded waste receptacle.

Corrected Corrected by Aug 11, 2022

Category: health medication. Marked corrected in the state record.

3270.91(a) · Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

The side exit door from the Gym to the outdoors was observed to not be able to be opened. One of the exit doors in the Pre-K Room to the hall was observed to be obstructed with stacked toy blocks.

Corrected Corrected by Oct 11, 2022

Category: physical safety. Marked corrected in the state record.

3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

An infant was observed sleeping on their belly in a crib in the Infant Room. Staff reported the infant was placed in that way into the crib.

Corrected Corrected by Aug 11, 2022

Category: health medication. Marked corrected in the state record.

3270.124(a) · Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

The file for Child #3 contained an emergency contact form which did not include contact address information for the contact persons.

Corrected Corrected by Oct 11, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The files for Child #2 and #3 contained emergency contact forms which lacked the full addresses for release persons.

Corrected Corrected by Oct 11, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

The file for Child #4 contained a most recent health report dated more than 12 months ago.

Corrected Corrected by Sep 20, 2022

Category: health medication. Marked corrected in the state record.

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

An expired Motrin, two Tylenols and one acetaminophen were observed in the medication box in the office.

Corrected Corrected by Oct 11, 2022

Category: health medication. Marked corrected in the state record.

3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

Written parental consent for administration was not available for a Tylenol labeled for Child #5 and a Tylenol labeled for Child #6.

Corrected Corrected by Oct 11, 2022

Category: ratio. Marked corrected in the state record.

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Perishable food was observed in lunch boxes in the Transitional Kind/SA Room, not refrigerated.

Corrected Corrected by Aug 11, 2022

Category: nutrition. Marked corrected in the state record.

3270.181(c)/3270.181(d) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. Following review, a parent shall attest to the accuracy of information in the emergency contact information and the financial agreement at each review by affixing a dated signature to the record.

The file for Child #1 contained updates to the emergency contact form dated more than six months apart.

Corrected Corrected by Sep 20, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The proof or purchase for the observed interconnected fire detection system was not available at the time of inspection.

Corrected Corrected by Oct 11, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

According to operator report, updates to the emergency plan were sent to the local municipality but not to the county emergency management agency.

Corrected Corrected by Oct 11, 2022

Category: physical safety. Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff #9 lacked documentation of the 12 hours of required annual child care training between 12/19/20 and 12/19/21. The file for Staff #10 contained documentation of 2 of the 12 hours of required annual child care training between 12/19/20 and 12/19/21.

Corrected Corrected by Oct 11, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii)/3270.192(2)(iii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The files for staff #1 and #2 contain fire safety training that was conducted late.

Corrected Corrected by Sep 2, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The file for staff #1 contains an evaluation that was conducted late.

Corrected Corrected by Sep 2, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Observed hand sanitizer accessible to children in the SA room.

Corrected Corrected by Sep 2, 2021

Marked corrected in the state record.

3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

Observed one waste can without a lid on it in a bathroom area in the 2 year old room.

Corrected Corrected by Sep 2, 2021

Category: health medication. Marked corrected in the state record.

3270.131(d)(5)/3270.182(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.A child's record shall contain initial and subsequent health reports.

The file for child #1 lacks verification of a current flu shot.

Corrected Corrected by Sep 10, 2021

Category: health medication. Marked corrected in the state record.

3270.31(f)(10)/3270.192(2)(iii) · Pediatric first aid and pediatric cardiopulmonary resuscitation. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff #3 and #4 do not have current first aid and CPR training.

Corrected Corrected by Oct 15, 2021

Category: health medication. Marked corrected in the state record.

3270.27(a)(1)/3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises.The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The facility's emergency plan did not provide accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions or a lock down procedure.

Corrected Corrected by Oct 2, 2021

Category: physical safety. Marked corrected in the state record.